原著：頭部外傷データバンク
頭部外傷データバンクにおける重症頭部外傷の検討
──交通事故受傷例における頭蓋外損傷および転帰の分析──
キーワード:
Japan Neurotrauma Data Bank,
Severe head injury,
Traffic accident,
Extracranial injury,
Outcome
2005 年 28 巻 1 号 p. 6-10
詳細
2005 年 28 巻 1 号 p. 6-10
This study was conducted to elucidate the relation of cause of injury to extracranial injury and outcome, and to analyze the effectiveness of safety devices in traffic accident group of the Japan Neurotrauma Data Bank. Five hundred and thirty-eight cases with Glasgow Coma Scale score (GCS) 8 or less were injured by traffic accident and enrolled. Those were divided into 4 groups: four wheel vehicle (4WV) group in 101 cases, motorcycle (MC) group in 163, bicycle (BC) group in 118, and pedestrian (P) group in 150. The extracranial injury were classified into 7 categories: cervical spine/cord, face, chest, abdomen, pelvis, extremities, and multiple injuries.
The extracranial injury was most common in the 4WV group, followed by the P group. As for the distribution of extracranial injury, multiple injury was less frequent in the BC group. The Injury Severity Score (ISS) of 31 points or more was most common in the 4WV group. The ISS was quite correlated with the GCS. The outcome at discharge was relatively better in the MC group.
The information about the safety devices was not sufficiently obtained. The effectiveness of the safety devices was not proved in regard to the extracranial injury and the outcome. Furthermore, the relation of seat position to the extracranial injury and the outcome was also unclear. These results did not coincident with the estimated data. The reason of these differences might not be explained in the sole clinical investigation.
